Presentation on theme: "The Ambulance Approach to Major Incidents. Overview 1 Types of Major Incidents Ambulance are Involved in. 2 Our Roles in Major Incidents 3 Road Traffic."— Presentation transcript:

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Overview 1 Types of Major Incidents Ambulance are Involved in. 2 Our Roles in Major Incidents 3 Road Traffic Crashes form a significant proportion of our major incidents. 4 We use the same approach for all major incidents but Road Traffic Crashes have some unique roles and issues. 5 Ideal Incident Layout v Road Traffic Crash Layout. 6 METHANE v Send Help Its Terrible. 7 Major Incident and Emergency Plan 8 The 5 Rs 9 Impact on BAU of major incidents

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Key Roles and Responsibilities Scene Assessment with Triage - high priority – can mean checking and leaving someone who is critically injured. Operations Manager Ambulance Commander - hands off – can be difficult for a clinician to do and perception of others can be they are not helping. Treatment Communications Loading Controller Liaison Air Desk PIM Logistics Team approach to incident management - CIMS

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Triage To sort. Means that the Triage Officer does only triage and very little treatment unless immediately life saving and something that they can then move on from. For example open an airway, get a bystander to hold it open and move on. Can be a trap for young players to get stuck treating one person and miss the bigger picture. Later turns into setting up triage areas to group everyone as much as possible.

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The distribution of injury accidents is not entirely surprising when comparing it with population bases. Even taking this into account however there are clearly some districts that have higher levels of injury accidents than others.

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There is some variability by month in Injury Accidents with the peak months being December and March. Figure 1 shows the number of road traffic incidents by month. It shows a decrease in the number of road incidents over the past five years. Historically, there were more road incidents during the holiday season in March and December. Figure 1: No. of road traffic incidents by month

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Road Traffic Roles and Issues Roles are Essentially the same for all incidents but: Need to look out for things like power lines. Access and Egress are a significant issue. Between all the services we can be pretty good at closing scenes down ourselves

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Why an Ambulance Approach To Major Incidents Ambulance has unique Requirements and it is Required under: The Ambulance Standard National Health Emergency Plan AMPLANZ Led to the National Ambulance Major Incident and Emergency Plan ensuring consistency.